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General NPI Number Information
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NPI Number | 1316206493
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Entity Type | Individual
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Provider Name | OMAR ADOLFO ARGUETA
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Gender | Male
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 8514 BROADWAY APT 3M
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City | ELMHURST
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State | NY
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Zip | 11373-5860
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Country | US
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Telephone | 718-533-0853
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Fax |
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Provider Business Mailing Address
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Address Line | 8514 BROADWAY APT 3M
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City | ELMHURST
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State | NY
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Zip | 11373-5860
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Country | US
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Telephone | 718-533-0853
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State | NY
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